Residential Treatment Program

TCSI received a 3-year accreditation from CARF International, the Commission on Accreditation of Rehabilitation Facilities, the longest accreditation given by CARF.

Residential Treatment Services

Success and Independence

  • Individual, Family and Group Psychotherapy
  • Dialectical Behavior Therapy Program for adolescents (coping skills development)
  • Adolescents Substance Abuse Programs (treatment, prevention, education, intervention and relapse prevention including the evidence-based Matrix Model program)
  • Anger Management Program
  • Social Skills/Independent Living Programs
  • Diagnostic Services (psychological, psychiatric, neuropsychological assessment - emotional, behavioral and learning issues)
  • AA/NA Programs and Sponsorship for youths and teens - The clients attend meetings on and off campus and are required to work with a sponsor
  • Medication Management and Consultation - A psychiatrist available 24 hours a day for medication management and consultation
  • Nursing Services
  • On-Site School Program - Full time on-site fully accredited school program offering credit recovery, advanced classes and special education services
  • Adolescent Teen Support Program
  • Aftercare Program - for youth and families after discharge

The TCSI Difference

TCSI is one of the few freestanding dual-diagnosis adolescent residential intensive treatment centers in Texas.

TCIS is one of the very few facilities in Texas that offers a complete Dialectical Behavior Therapy (DBT) program designed specifically with adolescents in mind.

TCSI offers a long-term, residential program with a minimum stay of 90 days.

Whereas hospital-based programs have stays of 28-days or 60-days, the average stay for a TCSI client is 70 to 90 days or more, allowing time to uncover and treat the underlying causes of the client's condition.

We are one of the few facilities that treat adolescents with dual diagnoses, those with both a history of substance abuse and mental health issues.

Team Approach

Members of the TCSI team are highly vetted. Our therapists bring experience, compassion and dedication to each client they care for both in our residential facility and our Intensive Outpatient Treatment Program.

TCSI staff, including chemical and psychiatric therapists, work together as a team to provide the most comprehensive and effective treatment for each adolescent.

The Center's research-based treatment plans focus on the partnership between therapists and clients. Teaching adolescents how to cope with the underlying issues contributing to their chemical, emotional, mental and behavioral issues is an important part of the plan. This dual-diagnosis treatment method is a key contributing factor in our proven success rate.

Therapists nurture and encourage clients to master the skills necessary to make positive changes and decisions in everyday life.


TCSI employs:

  • Therapists (Master and PhD levels)
  • Bilingual Therapists
  • Chemical Dependency Counselors
  • Consulting Psychiatrists
  • Case Managers
  • Trained Mental Health Technicians

We maintain a low staff-to-client ratio of 5 to 1. This low staff-to-client ratio allows us to maximize the effectiveness of our client treatment.

We use the latest clinical and evaluation tools and solid evidence-based strategies. And we maintain stringent training requirements.


On a weekly basis, adolescents receive approximately:

  • 10 hours of group psychotherapy
  • 1 hour minimum of individual therapy
  • 3 hours of family therapy
  • 6 hours of chemical dependency therapy or other appropriate self-help group therapy

Clients are taught anger management and coping skills. Opportunities to practice these skills are incorporated throughout the program.

Trauma and abuse issues are dealt with directly in individual, group and family therapy.

Youths and teens served by TCSI have frequent and sustained access to clinical professionals – all with advanced training and an open approach to evaluation – in a number of specialty areas, including general adolescent treatment and research-driven therapy, among others.

Family Involvement

It has been our experience, that when families come together and make recovery their focus, you see notable results. Family members are involved in treatment planning and participate in the following:

  • Weekly Family Therapy
  • Multi-Family Therapy
  • Family Education Sessions
  • Parent Support Group

A positive and structured home environment is instrumental for both the youth and their families. Discussions and techniques for establishing effective communications, a healthy home environment and boundaries are a part of family education and therapy. Families are given the opportunity to practice these skills when their loved one returns home. We have found that increasing the periods of time that clients and families spend together allows everyone to adjust and learn new ways of managing issues. The home visits are the anchor of our strategy to reintegrate clients successfully into home, school and neighborhood settings.

Once a month, the entire treatment team meets with the adolescent and parent to review progress, identify obstacles and devise strategies for continued success.


Southwest Charter School operates an accredited on-site school for our youths. Our therapeutic team works directly with teachers and clients to encourage academic success. TCSI also offers a GED program.

Our network of partner agencies provides on-site mentoring, higher-education planning, career development and job training services. They include The Boy and Girl Scouts of America and the Career and Recovery Center.

What our clients say

For the better, forever

The Center changed our lives for the better, forever. It was a team effort – and nothing short of a miracle. The hard work from the dedicated team of counselors at TCSI -- along with the hard work that my daughter and I did, sometimes reluctantly, but continuously -- has paid off in every aspect of our lives. We’ll remain forever grateful.

~ Parent of a 15 year old girl at time of treatment